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1.临床资料:本组男10例,女8例;年龄38～78岁,均符合1970年全国肺心病学术会议标准。另外,本组病人还有两大特点:①唇、舌、四肢末端重度紫绀,肢体湿冷,血压下降,血中血红蛋白含量比较高。②有神志恍惚、谵妄,呼吸不规则,言语和行为异常等肺性脑病症状。 2.治疗方法:常规使用抗生素、激素、祛痰平喘药、利尿剂,部分病例用苄胺唑啉10～30mg、多巴胺40～60mg,加入 5％葡萄糖或低分子右旋糖酐中静滴。在此基础上,同时采用光电血疗法。方法是将经体外抗凝的病人静脉血200ml置于特制的石英玻璃罐内进行紫外线照射(10个生物剂量),并同时进行充分的充氧处理,然后再将血液回输给病人。
1. Clinical data: The group of 10 males and 8 females; aged 38 to 78 years, are in line with the National Conference of Cor Pulmonale in 1970 standards. In addition, this group of patients there are two major characteristics: ① lips, tongue, extremities severe cyanosis, limbs cold and cold, blood pressure, blood hemoglobin content is relatively high. ② trance, delirium, irregular breathing, abnormal speech and behavior and other symptoms of pulmonary encephalopathy. 2. Treatment: conventional use of antibiotics, hormones, expectorant and antiasthmatic drugs, diuretics, in some cases benzylazoline 10 ~ 30mg, dopamine 40 ~ 60mg, adding 5% glucose or low molecular weight dextran intravenous infusion. On this basis, while using photon blood therapy. The method is to place 200ml venous blood of anticoagulated patients in extracorporeal anticoagulation in a special quartz glass jar for ultraviolet radiation (10 biological doses), and at the same time perform sufficient oxygenation treatment before returning the blood to the patient.